Therapeutic shoes & inserts
Medicare Coverage Information
Overview
Medicare Part B provides coverage for therapeutic shoes and custom inserts for patients with specific medical conditions, particularly those with diabetes. Beneficiaries must meet certain medical criteria and obtain proper documentation from their healthcare provider.
- Coverage is available for patients with diabetes or severe foot conditions
- Requires certification from a qualified physician or podiatrist
- Limited to one pair of shoes and three pairs of inserts per calendar year
- Must be prescribed as medically necessary
- Covered under Medicare Part B durable medical equipment (DME) benefit
- Medicare Part B beneficiaries with diabetes
- Patients with severe diabetic foot disease
- Individuals with foot deformities that require specialized footwear
- Beneficiaries typically pay 20% of the Medicare-approved amount after meeting the Part B deductible
- Shoes and inserts must be provided by a Medicare-enrolled supplier
- Total out-of-pocket costs may vary depending on specific Medicare plan
- Only available for patients with specific qualifying medical conditions
- Requires documentation of medical necessity
- Limited to one pair of shoes and three pairs of inserts annually
- Must be prescribed by a qualified healthcare professional
- Consult with your primary care physician or podiatrist
- Get a detailed medical evaluation and certification for therapeutic shoes
- Verify coverage with your specific Medicare plan
- Obtain a prescription from a qualified healthcare provider
- Contact Medicare at 1-800-MEDICARE for specific coverage details
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicaretherapeutic shoesdiabetic shoe coverageMedicare Part Bmedical footwear
Related Coverage Topics
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